How to use EDI to exchange information with us electronically

Who is this for?

If you're a provider, facility, software vendor or clearinghouse, this will help you learn how to reduce costs and save time by sending and receiving information electronically.

EDI, or electronic data interchange, is the paperless way to exchange information via computer. The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions.

In order to send and receive information using EDI, you'll need to get set up and follow some guidelines. We'll help you do that here. You'll also find lists of claims that can't be processed electronically and a library with helpful documents.

Submitting claims and other transactions: Getting started

To learn how to submit claims and other transactions to us electronically, please select the option that most closely describes you.